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Utah rates for HCPCS D0170

Re-Evaluation - Limited, Problem Focused (Established Patient; Not Post-Operative Visit)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $19.05 / $25.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $54.95
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $28.84 / $28.84
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $30.90 / $32.36